NPI | 1861675407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D76077) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225530) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2014-05-08 |